Irritant Contact Dermatitis of the Vulva
摘要
Irritant contact dermatitis of the vulva is the most common form of vulvar contact dermatitis (vCD). Due to specific anatomical and histological features, the vulva is particularly susceptible to vCD. The diagnosis of vulvar irritant contact dermatitis (vICD) proves to be a challenge. On the one hand, patients might experience feelings of shame which lead to avoidance of seeking medical care. On the other hand, the under-recognition in healthcare professionals also contributes to the underdiagnosis of vICD. The diagnosis is mainly based on a comprehensive patient history and physical examination. In some cases, additional tests are needed such as patch testing or a biopsy. Risk factors for vICD include exposure to urine and stool, resulting in two common forms of vICD namely incontinence-associated dermatitis and diaper dermatitis. The former occurs most commonly in the elderly and the latter in young children. Management of vICD primarily aims to restore the skin barrier, decrease skin inflammation, and provide symptomatic relief.